The Bulgarian Society of Biomedical Physics and Engineering was founded
(BSBPE) in 1971. It is a collective member of the Union of the Medical Societies in
Bulgaria.
From 1962 to 1971 the scientists – "medical physicists"
were members of the Bulgarian Society of Radiology while the scientists –
"biomedical engineers" were members in the Section of Medical Electronics which
was a section in the Bulgarian Physiological Society. These two groups of scientists
merged to form the new Bulgarian Society of Biomedical Physics and Engineering. Thus came
to life one of the oldest biomedical scientific societies in the world and this notable
fact makes us proud.
Among the founders of the society are the medical physicists Prof. V.
Vransky, R. Poppitz, V. Penchev, M. Ganchev and the medical engineers D. Karadimov, I.
Stamboliev, Prof. I. Daskalov.
The activities of the Society are of a great variety and with different
intensities throughout the years. They include organization of National Conferences,
distribution of information on scientific conferences and symposia from abroad, revision
of new books, approbation of dissertations or publications, celebration of anniversaries
of important scientific events, participation in the education and especially in the
organization of postgraduate training of medical physicists and engineers from Bulgaria
and abroad, advising the Ministry of Health and other government agencies on major
problems of medical physics and engineering such as acquisition of special instrumentation
and distribution of clinical physics and engineering services, etc.
The Society holds its regular scientific conferences each four years.
Many Bulgarian and foreign biomedical physicists and engineers participate actively by
presenting papers and joining discussions. Scientists from USA, France, Germany, England,
India and from all Central and Eastern European countries have taken part in the six
conferences held since 1972. The 5th Conference (1988) included a WHO Symposium
on Medical Technology Assessment dealing with major medical, bioengineering and medical
physics topics on evaluation of needs of modern procedures and instrumentation.
The Annual Colloquium “Physics in Protection of Man and
Environment” organized jointly by BSBPE and the Sofia association of the Union of
Bulgarian Physicists has gained wide acceptance and popularity as it is convened already
19 years in succession. Every year specific ecological subjects are considered attracting
most of the specialists. The main working approach is in the form of discussions and about
15 – 20 reports and scientific communications are presented. The colloquium proceedings
are published and distributed free of charge to the participants and many institutions as
well as to public libraries. The Ministry of Ecology is a co-organizer during the last few
years. The traditional time and place of this event is June in Giulechitza located in the
heart of the Rila mountain where the Scientific Rest House of the Sofia University “St.
Kliment Ohridski” is set up.
The Bulgarian Society of Biomedical Physics and Engineering (BSBPE) is
a collective member of the European Organization of Medical Physics (EOMP) and the
International Federation of Medical and Biological Engineering (IFMBE). Close contacts are
maintained with both organizations as well as with the International Organization of
Medical Physics (IOMP). They provide the BSBPE with information and support for
participation in international schools and conferences. IOMP donated to BSBPE many medical
physics books and journal issues. That scientific literature is officially included in the
library of the University Hospital “Queen Joanna” where it is available to all
Bulgarian specialists. The BSBPE is maintaining good contacts with the identical
organizations in Germany, Czech Republic, Poland, Hungary, Greece, Turkey and others.
Thanks to Dr. D. White since 1992 the BSBPE has collaborated actively with the Clinical
Science Foundation – London. It subsidized three seminars on Radiation Physics with
invited lecturers from abroad and financially supported members of the BSBPE to
participate in the 8th Congress of the Bulgarian Radiological Society in Varna,
October 1995. Dedicated to the Centenary of the invention of X-rays. Prof. V. C. Roberts
and Dr. S. Tabakov (a former member of BSBPE) initiated a “Tempus” project, financed
by the European Commission, for the organization of an international postgraduate course
on Medical Radiation Physics in the Medical and Technical Universities in Plovdiv.
The Medical Radiation Physics was the first developed area of Medical
Physics in Bulgaria. Its beginning could be marked by the work of Prof. A. Sakhatchiev in
1920 on the measurement of X-rays.
The first medical physicist who worked in the field of dosimetry of
ionizing radiation in Bulgaria was Prof. V. Vransky. He was also the first lecturer in
radiological dosimetry and radiotherapy postgraduate courses for medical doctors as well
as the author of the first manual in this field (Basics of Radiological Dosimetry, 1953).
In the introduction of his book, the author clearly stated its objectives: assistance to
medical doctors in the substitution of the empirical attitude with a scientific one in
their practice.
Prof. Vransky worked in a period when an intensive development of
radiology, radiotherapy and nuclear medicine was initiated. The first laboratories of
clinical dosimetry and radiation protection were established in the former Institute of
Postgraduate Medicine, presently the University Hospital "Queen Joanna", and in
the National Centre of Oncology. The Ministry of Health founded a Quality Control
Laboratory for Radiology and Radiotherapy authorized to supervise all hospitals. The unit
in the University Hospital was established as a National Secondary Standard Laboratory of
Ionising Radiation Dosimetry in 1975. Since 1977 it has been involved in the network of
secondary dosimetry laboratories under the IAEA and WHO. The laboratory has taken part in
international comparison studies and is responsible for the regular supervision of the
Co-60 telegammatherapy units in the country. The Clinical Dosimetry Laboratory of the
National Centre of Oncology has participated in international comparison studies on
dosimetry of high energy electrons and photons and of X-rays organized by the IAEA. One of
the first accelerators in Eastern Europe ("Betatron 42 MeV") has been operating
in the Centre since 1969.
The radiology physics is still the most developed area of Medical
physics in Bulgaria. About 25 medical physicists work in the national and regional centres
of radiotherapy and nuclear medicine. The Radiation Protection Laboratories establishes in
1960 as well as the respective Departments to the Regional Environment Protection
Inspectorates employ about 100 specialists and the majority of them are physicists. They
are under the methodological supervision of the National Centre of Radiobiology and
Radiation Protection. The latter itself being a research institute where numerous
physicists work.
Second largest group of physicists are engaged in control and research
of the hygiene connected with different harmful agents and factors. The Laboratory of
Electromagnetic Non-ionizing Radiation at the National Centre of Hygiene and Medical
Ecology is very initiative. Its functions include research, teaching and inspections all
over the country.
Another group of physicists are engaged in the field of climatology and
therapy in a climatic environment. Their activity is important in view of the various
favourable climatic conditions in Bulgaria.
Postgraduate educational courses in Medical Radiation Physics and
Hygiene Physics are regularly organized by the Medical University of Sofia. The courses
duration is minimum 2 years following up-to-date curricula. Several tenths of physicists
mainly involved in radiotherapy and nuclear medicine have graduated. Many of them are
engaged in the Departments of Medical Physics and Biophysics at the Bulgarian Medical
Universities. Short courses and individual training programmes in Medical Radiation
Physics are also organised by several research centres in this field. Educational and
training activities for physicists and engineers in radiology and radiotherapy are
supported by IAEA, EFOMP, EC and other international and some national organizations
through research contracts, felloship grants, measurements instrumentation, etc.
The first biomedical engineer in Bulgaria was S. Karadimov who had
introduced X-ray and electrical therapy instrumentation in the country before the Second
World War. He was an agent of a foreign manufacturer and established a service and
maintenance unit. These activities were further developed by him and the X-ray technicians
S. Stefanov and V. Stefanov. In 1956 medical engineering attracted several young
engineers. K. Popov and E. Milev contributed to the maintenance of the complex medical
instrumentation. Under the supervision of S. Karadimov local production of electrotherapy
instrumentation was started. The research group with the following members: K. Marinchev
D. Karadimov, I. Stamboliev and I. Daskalov, managed the production. Several years later
L. Jovev and K. Popov assisted by I. Dotsinsky, headed the newly established Institute of
Medical Engineering with both objectives - development and production control of medical
instrumentation. A research and clinical engineering unit, Department of Biomedical
Engineering, was created within the former Medical Academy, today Medical University and
its Head was Prof. I. Daskalov.
I. Stamboliev initiated the education of medical engineers in 1974. A
specialization of medical electronics was established within the Department of Electronics
Engineering at the Technical University of Sofia. In spite of some decline in the interest
in engineering sciences in the last several years there are 45 graduates in average in
medical electronics.
Teaching and research activities are combined due to the intense
collaboration between the Faculty of Electronic Engineering and Technology and the Centre
of Biomedical Engineering of the Bulgarian Academy of Sciences. Ph.D. and diploma theses
are jointly supervised. Common projects are developed. Links with several industrial
groups are maintained. Educational activities in biomedical engineering were undertaken in
the last years by the Technical Universities in the cities of Varna, Plovdiv (a Department
of the Technical University in Sofia) and Gabrovo. Considerable improvement in this
direction was achieved due to an EC supported "Tempus" project offering also the
possibility for about 10 Bulgarian students to attend an international postgraduate
bioengineering course in the University of Patras (Greece). Bulgarian professors have the
opportunity to participate by teaching in this course.
Science and research activities in biomedical engineering are
concentrated mainly in several institutions in Sofia. These are the Centre of Biomedical
Engineering, the bioengineering groups in the Institute of Physiology and the Institute of
Biophysics, Department of Medical Electronics in the Technical University in Sofia, the
Clinical Engineering Department in the Medical University and the Military Medical
Academy. More than 350 papers on different topics of biomedical engineering have been
published in international scientific journals and books by our researchers cited by more
than 800 authors abroad.
Clinical Engineering has a prolong tradition in Bulgaria. About 800
engineers and technicians are engaged in this field. Some of them are in separate service
units as agents of foreign manufacturers and some are clinical engineers in large
hospitals throughout the country. The majority of them are Technical University-Sofia
graduates in medical electronics.
The medical engineering industry used to include assemblies of X-ray
units manufactured by foreign firms in the locally developed X-ray units and
electrotherapy devices, standard blood pressure measurement devices, surgical instruments
etc.